| NPI | 1598004947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALE S PRIVETTE Owner 301-840-5787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 10602960) |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |