| NPI | 1164655692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE MANUEL President 804-239-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2011-03-11 |