| NPI | 1104547363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA H SHIN Owner 540-943-8545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2022-09-07 |