| NPI | 1538680160 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOVELYN MARIE PEDRO RAMENTO Owner / General Manager 808-330-9508 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2017-07-05 | 
| Last Update Date | 2022-07-21 |