| NPI | 1528096799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUANITA LOUISE O'DELL Officer/Vice President Of Finance 301-210-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 04834991) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2007-08-21 |