| NPI | 1801005111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MATHIS President 410-760-6990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NC 440345) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |