| NPI | 1467558080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SZYMANSKI General Manager 571-527-7794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2011-01-27 |