| NPI | 1033462759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASMAMAW E. BEYENE Chief Executive 410-790-4899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MD R3307) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2024-08-08 |