| NPI | 1336332709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANT MOSHANG Controller 410-910-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 01320) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2008-03-04 |