| NPI | 1922432442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DE FRIES CEO 301-660-6382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2015-01-23 |