| NPI | 1649756602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON MATHIS Owner 443-413-8263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC C201818400166) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |