| NPI | 1306999669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY CAMPBELL VP Reimbursement 410-248-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2019-07-09 |