| NPI | 1104002989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NNADOZIE I NWACHUKU Owner 540-710-5416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 104910) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-22 |