| NPI | 1053466227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN O RAPPOLD Credentialing Specialist 804-527-6835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-11-12 |