| NPI | 1417166984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A BOLESTA President 410-374-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 079091) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |