| NPI | 1003372137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOZI KATHLEEN AUSTIN-ELEJE Manager 915-533-8870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |