| NPI | 1497521603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SELBY BLANKEN Director 301-592-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |