| NPI | 1770007510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHA BRENDA SIMMONS Owner 301-313-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2022-07-21 |