| NPI | 1295614238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN S MORTON Credentialing Manager 240-425-4391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-02 |
| Last Update Date | 2025-09-02 |