NPI | 1538104674 |
---|---|
Entity Type | Organization |
Authorized Contact | BENSON EKONG President 810-720-0104 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2006-06-20 |
Last Update Date | 2020-08-22 |