| NPI | 1881754802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN M. THOMAS President 410-543-7988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: MD 22241158) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |