NPI | 1396384269 |
---|---|
Entity Type | Organization |
Authorized Contact | ASANJI T CHOFOR Administrator 443-762-6581 |
Organization Subpart ? | No |
Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
251E00000X Home Health | |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2019-12-24 |
Last Update Date | 2020-11-12 |