| NPI | 1043321532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HALE SMITH President 410-820-5945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D39887) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 2132443) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2019-08-06 |