| NPI | 1174136865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOLOMON G ABEBE President 571-399-5318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |