| NPI | 1023253978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BAKER President 757-560-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2705125637) |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2008-12-06 |