| NPI | 1790959187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFIONG EYO MBABA Owner 770-907-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 06-19916) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-08-25 |