| NPI | 1073579611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASPER SPRATLEY Owner/President 804-796-2991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA 0206009125) |
| Enumeration Date | 2006-04-23 |
| Last Update Date | 2020-08-22 |