| NPI | 1407451362 |
|---|---|
| Doing Business As | EMPIRE MEDICAL WIGS |
| Entity Type | Organization |
| Authorized Contact | ABENA OWUSU-ANSAH Chief Executive Officer 331-250-3527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2022-03-03 |