| NPI | 1679286132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLI CLARKSON Office Manager 410-778-1801 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2024-12-27 |