| NPI | 1821758442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA & TAIEB BACCOUCHE CEO 240-432-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2024-01-16 |