| NPI | 1629430111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY S PALMER Owner 410-573-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 00542) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-11-22 |