| NPI | 1164087649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEE PARKER Owner 540-532-1804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2019-05-09 |