| NPI | 1114172582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNIE E ABEBAKU Administrator 877-271-9620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 22039) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |