| NPI | 1083045561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL DELA CRUZ C.E.O. 757-227-6844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2013-253127-R) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2013-12-09 |