| NPI | 1033062690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLEN DAVID CLYBOURN Owner 240-412-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 3416L0300X Ambulance, Land Transport | |
| 343800000X Secured Medical Transport (VAN) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 344600000X Taxi | |
| Enumeration Date | 2026-02-16 |
| Last Update Date | 2026-02-16 |