| NPI | 1093840050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE HAYES President 434-447-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201003969) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |