| NPI | 1346331527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BON ANELE AGOHA Administrator 410-480-9007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2425) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |