<Unavail>

LBN: Old Roswell Holdings Llc
<Unavail> is an health care organization with primary practice located at 3913 Hartzdale Dr Suite 1306, Camp Hill PA 17011-7845. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Old Roswell Holdings Llc can be contacted via phone (717) 766-6191, or through Eden, Tracy via phone (404) 459-8005.

Contact Information

Primary practice address
3913 Hartzdale Dr Suite 1306 Camp Hill PA 17011-7845
Fax: (717) 691-1052
Website:
Authorized official contact:
Name: Eden, Tracy

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Long Term Care Pharmacy 3336L0003X PP481575 Pennsylvania

Profile Details

NPI number 1619240025
LBN Legal business name Old Roswell Holdings Llc
DBA Doing business as <Unavail>
Authorized official Eden, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 15th, 2012
Last updated Apr 29th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619240025 NPPES
Pennsylvania MEDICAID 0018224450018

Popular Providers