| NPI | 1528205408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRASER CUMMINS HENDERSON President 301-654-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 6742100001) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD D0044416) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2023-01-18 |