| NPI | 1164730214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ROTH Owner 410-455-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 00679) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-10-21 |