| NPI | 1104832922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD STATHAM GILLIAM President 434-455-5515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA 0206009288) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2007-09-21 |