| NPI | 1912930496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE MGBEDEM OKOLIE President 817-652-4493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: TX 0071383) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: TX 0071383) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2021-08-18 |