| NPI | 1689832032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUMOALA H JACK President/CEO 191-481-2107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2008-06-01 |