NPI | 1518626704 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN AMOYAL CEO 410-818-7272 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
Enumeration Date | 2021-12-15 |
Last Update Date | 2024-07-12 |