| NPI | 1831649573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINOVIY FRADLIN Administrator 410-629-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R4000) |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2023-11-24 |