| NPI | 1740385269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNADETTE NNEKA NWANGUMA Owner 410-602-6493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MD R2232) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2010-06-24 |