| NPI | 1073752309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER S MOORE President 540-384-2064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 2705 112890A) |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2009-02-10 |