| NPI | 1629228036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA KOMTANGI Director 301-806-3582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2667) |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2008-09-22 |