| NPI | 1760542351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL UREVBU Administrator 469-831-4183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2016-06-10 |