| NPI | 1154405975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JEAN COOK WEINER President/Owner 301-776-0081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 16227936) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |