| NPI | 1659361202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC ALAN MYZAL COO 410-833-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 06013861) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2013-11-19 |