| NPI | 1780222307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE CRAWFORD Billing And Credentialing Manager 410-618-1090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2019-12-13 |