| NPI | 1720340664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIA A BOLESTA President 410-374-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |