| NPI | 1063678365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAWOLE OLUWOLE Director 469-464-2295 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2008-08-06 |