NPI | 1104253160 |
---|---|
Doing Business As | IMAGE RECOVERY CENTER AT UPPER CHESAPEAKE |
Entity Type | Organization |
Authorized Contact | EDWARD JEROME KELLY CEO 410-560-0614 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2013-10-03 |
Last Update Date | 2013-10-03 |