| NPI | 1982118865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAWALE IBRAHIM Manager 817-372-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |