| NPI | 1891282943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVANS TACHIE-MENSON Director 183-263-3529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2019-07-12 |