| NPI | 1306081195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE CAO Practice Administrator 410-569-5155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2014-04-04 |