| NPI | 1518792936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTIA BEAN Owner 443-793-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2024-09-05 |
| Last Update Date | 2024-09-05 |