NPI | 1629173455 |
---|---|
Other Name | LLC |
Entity Type | Organization |
Authorized Contact | ATTAESSIEN A UBOKUDOM Owner/CEO 313-835-6884 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-09-14 |
Last Update Date | 2020-08-22 |