| NPI | 1144739988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL KELLY President 703-801-0773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2705097760) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |