Provider Demographics
NPI:1205258803
Name:SALANA, INC.
Entity type:Organization
Organization Name:SALANA, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:GRADY
Authorized Official - Middle Name:ARTHUR
Authorized Official - Last Name:HARRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:HEARING AID SPEC
Authorized Official - Phone:215-745-9411
Mailing Address - Street 1:6545 ROOSEVELT BLVD
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-2918
Mailing Address - Country:US
Mailing Address - Phone:215-745-9411
Mailing Address - Fax:215-745-7154
Practice Address - Street 1:6545 ROOSEVELT BLVD
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19149-2918
Practice Address - Country:US
Practice Address - Phone:215-745-9411
Practice Address - Fax:215-745-7154
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SALANA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-16
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF03504332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1174761555Medicare NSC