| NPI | 1558695684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LYNN ROTH Vice President 410-665-0107 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE 09 01162 37) |
| Enumeration Date | 2009-09-22 |
| Last Update Date | 2010-07-20 |