| NPI | 1184979833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY COFFEY Administrator CEO 804-287-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 1120158) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |