| NPI | 1760433940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GODWIN ENWONGOBONG UDO Owner 915-203-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2007-10-22 |