| NPI | 1023780558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEZARAY PURNELL Owner / Manager 804-938-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |