| NPI | 1558804575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B LEE Owner 301-649-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 11816) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2019-04-11 |