| NPI | 1841910668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST MBEMENA President 336-509-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-08-31 |
| Last Update Date | 2022-08-31 |