| NPI | 1083289524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE CENICEROS Office Manager 757-425-7977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |