| 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 |