| NPI | 1801221064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATONJA DESHAWN MARTIN Executive Director 202-841-8725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2013-09-06 |