| NPI | 1467171520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERAY KABBA Director 703-863-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-08-23 |