| NPI | 1083147094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA KLEIN Executive Director 571-933-6429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2017-04-06 |