| NPI | 1215417738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOAD IBRAHIM AJAJ Employee 267-221-6787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-14 |
| Last Update Date | 2018-08-14 |