| NPI | 1972746220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREHIWOT SELETENE President 310-642-0703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2010-11-04 |