| NPI | 1902109747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA BALAA Administrator 240-329-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: MD R2970) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |