| NPI | 1548700453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKUA AGYEMANG Owner 347-564-3464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |