| NPI | 1396988507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE EBENUWA CEO 323-293-3983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 49545) |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2009-04-17 |