| NPI | 1104923895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH ANTHONY DAVIES President 757-548-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA 0206009115) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2010-03-11 |