| NPI | 1104089531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C MCINTURFF Owner 540-877-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 2705009815) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2008-07-07 |