| NPI | 1174754063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEREZ L PATTERSON Owner/Manager 757-201-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 904518) |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |