| NPI | 1427115567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORD M MCGUIRE Owner 410-601-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 404036800) |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2012-03-13 |