| NPI | 1023564275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MILLER CASTLE Owner 276-676-3459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2705089724) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |