| NPI | 1164898615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB BETHEL PATTERSON Owner 434-228-4743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |