| NPI | 1497977169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLOYD ESSNER TALIAFERRO CEO 410-984-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MD 411131100) |
| Additional Taxonomies | 251S00000X (Licence: MD 411133800) |
| 251S00000X (Licence: MD 411132000) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-05-12 |