| NPI | 1730469461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE ADEBANJO Assistant Administrator 410-655-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2903) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |