| NPI | 1407019227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODWIN O ENYONG President 318-868-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-07-02 |