| NPI | 1316011679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR OMOTAYO OMOTUNDE President 901-937-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000912) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2013-06-21 |