| NPI | 1174526792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE GOLD Director Of Hme 410-719-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2116) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD R2116) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2008-08-11 |