NPI | 1073526711 |
---|---|
Doing Business As | IMAGE RECOVERY CENTERS |
Entity Type | Organization |
Authorized Contact | EDWARD JEROME KELLY CEO 410-342-9484 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-08-14 |
Last Update Date | 2020-08-22 |