| NPI | 1235763939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN G GRINES Managing Member 301-241-8883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |