| NPI | 1679943559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY DELORIS WILLIAMS Administrator/Owner 301-947-0569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |