| NPI | 1043231087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORDELL J. JETER President 301-931-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 16230925) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |