| NPI | 1376820555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIDAL LEROY IRABOR President 347-204-5623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2011-11-15 |