| NPI | 1356773774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA TILLERY General Manager 202-445-8876 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-08-08 |