| NPI | 1356897441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY OBILO Manager 347-395-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2016-08-29 |