| NPI | 1356906994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YONG HAK LEE Administrator 571-363-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |