| NPI | 1760913677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE WALLACE President 301-985-2985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 16166763) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2022-10-05 |