Provider Demographics
NPI:1255659660
Name:SMS MR WHEELCHAIR LLC
Entity Type:Organization
Organization Name:SMS MR WHEELCHAIR LLC
Other - Org Name:MR WHEELCHAIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-333-7301
Mailing Address - Street 1:7932 FRANKFORD AVE
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-3016
Mailing Address - Country:US
Mailing Address - Phone:215-333-7301
Mailing Address - Fax:215-333-7318
Practice Address - Street 1:7932 FRANKFORD AVE
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19136-3016
Practice Address - Country:US
Practice Address - Phone:215-333-7301
Practice Address - Fax:215-333-7318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA385818332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies