| NPI | 1902764483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAJUMOKE IKUSERU Manager 602-993-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-01-13 |
| Last Update Date | 2026-01-13 |