| NPI | 1013187426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY RENEE BREWER Owner 410-770-3772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 20274714) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-03-03 |