Healthcare Provider Details

I. General information

NPI: 1114694601
Provider Name (Legal Business Name): EOS PENNSYLVANIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 09/14/2023
Certification Date: 09/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 N WEST END BLVD STE 323
QUAKERTOWN PA
18951-2324
US

IV. Provider business mailing address

258 N WEST END BLVD STE 323
QUAKERTOWN PA
18951-2324
US

V. Phone/Fax

Practice location:
  • Phone: 215-453-8367
  • Fax: 610-200-5322
Mailing address:
  • Phone: 215-453-8367
  • Fax: 610-200-5322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DANA DENNER
Title or Position: PRESIDENT
Credential:
Phone: 215-453-8367