NPI | 1821645193 |
---|---|
Entity Type | Organization |
Authorized Contact | BAYO OMOTARA President 214-442-3081 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
Enumeration Date | 2019-08-21 |
Last Update Date | 2019-08-21 |