| NPI | 1093197055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAYODE OKUSI Owner 770-875-9329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2015-06-25 |