| NPI | 1053392753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IYAKINOABASI E MBRIDE Director Of Operations 214-474-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2008-02-04 |