| NPI | 1114123890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEBESSA ALEMAYEHU DABA CEO/Owner 703-346-8796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2010-05-20 |