| NPI | 1366996183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE STOLBOM Director Of Contracting & Complianc 410-975-2019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000004500) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: TN 0000004500) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2022-12-13 |