| NPI | 1023591443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN K IKUMOLA President 917-821-2693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |