| NPI | 1952549958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREL L. JENKINS Owner 301-526-4353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2009-01-28 |
| Last Update Date | 2009-01-28 |