| NPI | 1891939104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY NWEKE Owner 678-380-9130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 2009011590) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-09-01 |