| 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 |