| NPI | 1144362997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE LYNN SCHULTHEISS Office Manager 410-836-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 01108) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2014-07-16 |