| NPI | 1992396196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOVELETTE BLAKE Owner 443-713-5726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-02-17 |