| NPI | 1417924598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORTLAND DERIC BARD Owner 301-516-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: MD 10636048) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-22 |