| NPI | 1568925543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR KIRK Account Manager 410-543-4323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2023-07-11 |