| NPI | 1285718189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UTONNE JOHN UMOH Director 302-832-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE 2004206121) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |