| NPI | 1942327010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLI CLARKSON Office Manager 410-758-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X (Licence: MD 01102) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2024-12-27 |