| NPI | 1578334421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABOSEDE OGUNBIYI Owner 433-846-0597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2025-10-16 |