| NPI | 1265799647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL S ZEH Presdient 410-340-6164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD W14093827) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2018-04-05 |