| NPI | 1396003729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE S OLABOSIPO Director 240-476-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |