| NPI | 1114446762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVERNE SYLVIA CEPHAS Owner 301-577-4077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2025-04-03 |