| NPI | 1003796608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE LAMAR INGRAM Owner 757-831-7908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |