| NPI | 1164713277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERIN ABASS-TENIOLA President 301-728-0012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2011-04-22 |