| NPI | 1922364314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIAL SAMSOONDAR Administrator 443-660-8859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: MD R3202) |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-11-01 |