| NPI | 1427216258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AFAHA MATTHEW ASANGANSI Owner/Operator 903-509-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-08-13 |