| NPI | 1750728390 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNE BENONS President/Owner 240-688-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |