| NPI | 1629649629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE FISHER Manager 410-319-6689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2022-01-12 |