| NPI | 1669892923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL EDWARDS ASUQUO General Manager 301-333-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2023-09-15 |