| NPI | 1588664601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSEY UDOM Manager 678-213-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 20100038403) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2023-11-09 |