| NPI | 1518020221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IKE J NWEKE Administrator 703-204-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 89387) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-06-03 |