| NPI | 1215075510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCELLA ANNETTE WOOTEN Pres 410-760-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 417482) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2020-08-22 |