| NPI | 1366473050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARD DIXON Owner 301-528-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 12464485) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2009-01-27 |