| NPI | 1366272965 |
|---|---|
| Doing Business As | NOT APPLICABLE |
| Entity Type | Organization |
| Authorized Contact | BANKOLE W ADEIGBE Operations Manager 463-336-3843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-08-07 |
| Last Update Date | 2024-08-07 |