| NPI | 1902042468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY C. EJEMOLE Ops Manager 240-391-6509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2672R) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2013-07-24 |