| NPI | 1174105316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH SHAE MURPHY Co Owner 757-784-7197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |