| NPI | 1851255624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS GROSSO Authorized Signer 301-637-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-12-15 |
| Last Update Date | 2025-12-15 |