Provider Demographics
NPI:1336164664
Name:EMB RESTORATIVE CARE, INC
Entity Type:Organization
Organization Name:EMB RESTORATIVE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BETLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-292-0505
Mailing Address - Street 1:119 HILLTOP AVE
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1333
Mailing Address - Country:US
Mailing Address - Phone:610-292-0505
Mailing Address - Fax:610-292-8872
Practice Address - Street 1:119 HILLTOP AVE
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1333
Practice Address - Country:US
Practice Address - Phone:610-292-0505
Practice Address - Fax:610-292-8872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1169670001Medicare NSC