| NPI | 1083907554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL AFEWORK President 703-945-2185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 126139) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2012-11-07 |