| NPI | 1013211036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE CHUCKER Owner 301-840-3477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 11-6236) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: VA 11-6236) |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-06 |