| NPI | 1790902120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY LO Chief Executive Officer 808-877-2761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-03-24 |