NPI | 1033523055 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA A FEIGHT Managed Care COO Rd 757-213-5683 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
Enumeration Date | 2014-06-18 |
Last Update Date | 2015-11-02 |