| NPI | 1295177863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELIX A. OWOLABI Director 443-570-4860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R3289R) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2022-11-09 |