| NPI | 1013047125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEAVEE BANK President 410-354-6401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 30250532) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-01-18 |