| NPI | 1942405527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA A ROSEN Owner 410-879-7037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD R2060) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2008-07-24 |