| NPI | 1861343360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKITA OIGBOKIE Owner 901-229-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2026-02-09 |
| Last Update Date | 2026-02-09 |