| NPI | 1679588412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYANT MOSHANG Controller 410-910-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312939) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-03-04 |