| NPI | 1487771382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIE B BONGAM-SIKOD Director 202-294-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: DC NSA-0180) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2011-10-05 |