| NPI | 1225013394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCY AYUK KIMBENG Owner/Director 225-924-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2020-08-22 |