| NPI | 1760551592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER OSITA NNAEMEKA Owner 662-253-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MS 2473) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2010-11-19 |