| NPI | 1093225617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEBUN NISA Owner 443-907-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-27 |