| NPI | 1114336419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S WERNER Vice President 804-330-5687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |