| NPI | 1104643444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HEIGHT-GROSS Director 443-975-6837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |