| NPI | 1346528791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARIKO MEKVABISHVILI President 414-745-3146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2011-08-02 |