| NPI | 1104014380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEANYI GODWIN OBIORA Owner 302-366-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE 2007603652) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2008-03-03 |