| NPI | 1316050867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN WILLIAM FREAS COO 301-707-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |