| NPI | 1396725032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY D. KASSIMIR Owner 410-415-5905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: MD 16224) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2015-01-05 |