| NPI | 1053995878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN TAYLOR-RACE STERCHI Owner 804-617-5806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2021-05-07 |