| NPI | 1023140779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR OLUSEGUN FALAIYE President 703-541-3183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0651801-3) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |