| NPI | 1609013812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH C. CREGGER Insurance Specialist 301-663-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD D0014768) |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |