| NPI | 1144931650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CANTWELL Authorized Official 410-533-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2024-03-12 |