| NPI | 1144843822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY WILLIAMS Director, Employer Funded Programs 757-560-8626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |