| NPI | 1902243611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W DAVIS Sole Manager 410-625-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-11-04 |