| NPI | 1063630481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A BOLESTA President 410-374-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 03187205) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |