| NPI | 1851863484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACY ROBINSON Owner 240-580-5067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2023-01-04 |