| NPI | 1659655413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MACK President 410-259-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2018-03-17 |