| NPI | 1346201506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LYNN ROTH Owner 443-463-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R940) |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-05-21 |