| NPI | 1700984044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RICHARD GARRY Owner/President 410-242-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD R2256) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-09-12 |