| NPI | 1174606305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MILES Administrator 703-961-0733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0306038) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |