| NPI | 1083616098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP BANE President 540-397-4318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL HME868) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL HME868) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2014-02-12 |