| NPI | 1467446914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS ANNETTE HODGES Adminstrator 301-475-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MD 18002) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2016-01-05 |