NPI | 1760400014 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY CAMPBELL VP Reimbursement 410-248-5590 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 335G00000X Medical Foods Supplier |
Enumeration Date | 2006-07-17 |
Last Update Date | 2019-07-09 |