| NPI | 1093051567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FITZGERALD LEWIS Managing Member 703-657-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009612) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2024-07-26 |