| NPI | 1700696911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHINYERE MADUBUKO Administrator 240-334-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition | |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-01-09 |