| NPI | 1811187982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLE RACHELLE BRADBURN COO 301-322-9260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 0000000) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 000000) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-26 |