| NPI | 1699573253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGHODARO O AMAYAEVBO President 469-577-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |