| NPI | 1093065633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LIU Licensing And Compliance Specialist 301-547-3683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 347E00000X Transportation Broker |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2018-05-14 |