| NPI | 1326092933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE AGNES BLACKBURN Office Manager 410-944-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2295) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |