| NPI | 1437204591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A SHANE President 410-668-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2152) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-06-21 |