Healthcare Provider Details

I. General information

NPI: 1689957110
Provider Name (Legal Business Name): MAGIC SLEEPER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 E 4TH ST
POTTSTOWN PA
19464-5217
US

IV. Provider business mailing address

125 E 4TH ST PO BOX 994
POTTSTOWN PA
19464-5217
US

V. Phone/Fax

Practice location:
  • Phone: 610-327-2322
  • Fax: 610-327-8342
Mailing address:
  • Phone: 610-327-2322
  • Fax: 610-327-8342

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: CHRISTINA MARIA RUBINO
Title or Position: SECRETARY
Credential:
Phone: 610-327-2322