| NPI | 1548802457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA CLARKE Office Manager 410-586-3126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2019-10-11 |