| NPI | 1881209757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA A ABELLA Crendentialing Specialist 301-245-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |