| NPI | 1801669254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENSON OTA OSAGIEDE Manager 214-876-4705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |