| NPI | 1386827418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT KALESI NWIBIABU Director 877-266-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: UT 6814204-1714) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2021-10-26 |