| NPI | 1144338773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH MICHIE KOONTZ Contract Manager 410-374-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 03186312) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2013-04-05 |