| NPI | 1730790932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDIDIONG UDOIDIONG President 708-890-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |