| NPI | 1376175414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RUSH Authorized Official 301-928-1697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |