| NPI | 1861201972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WAGNER Managing Partner 410-703-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-01-03 |
| Last Update Date | 2025-01-03 |