Organization Name: | WALNUT MANAGEMENT CORPORATION |
NPI Number: | 1699828509 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN A KAISER (DIRECTOR, WMS) |
Mailing Address: | 307 S Logan Blvd Burnham |
State: | PA US |
Postal Code: | 170091869 |
Phone Number: | 7172489938 |
Fax Number: | 7172489939 |
NPI Enumeration Date: | 01/22/2007 |
NPI Last Update Date: | 08/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 3000007974 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |