| NPI | 1992921472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH MICHIE KOONTZ Contract Manager 410-374-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NH 573631) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2013-04-05 |