| NPI | 1588116990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL OBI-OFODILE Owner 229-347-4693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: TX P7524) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2023-02-14 |