| NPI | 1750357703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG H KIM Managing Member 731-664-5003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN 0000000719) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2008-02-29 |