| NPI | 1215041983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN LOTT Executive Director 410-540-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251F00000X Home Infusion (Licence: MD PW0199) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-04-29 |