| NPI | 1285855619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE ADEAGBO President 562-861-6308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-11-28 |