| NPI | 1659774016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER M. CORRADO Owner 443-995-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE 2014102990) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |