| NPI | 1013309913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS HARPER President 757-746-7163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |