| NPI | 1063926384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEBUN NISA Owner 302-607-5147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2017-11-22 |
| Last Update Date | 2018-06-15 |