| NPI | 1194036384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALONZO NIXON Vice President 410-782-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DC 350000073931) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: MD 13852399) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |