| NPI | 1679048656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LIU Compliance Analyst, Iii 301-547-3684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |