| NPI | 1972739167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOFFI AGAMAHHIHEWODO Director 281-239-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2010-07-14 |