| NPI | 1083989610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER B STEWART Owner 434-244-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 0103001028) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-04-05 |