| NPI | 1891763348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANISLAV ETELIS President 410-518-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2126) |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2015-05-14 |