| NPI | 1780470567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBUKUN DUROSANYA Owner 779-777-4174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WW0000X Registered Nurse, Wound Care |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| 163WG0000X Registered Nurse, General Practice | |
| 163WH0200X Registered Nurse, Home Health | |
| 163WI0500X Registered Nurse, Infusion Therapy | |
| 163WX1500X Registered Nurse, Ostomy Care | |
| Enumeration Date | 2025-04-17 |
| Last Update Date | 2025-05-27 |