| NPI | 1205094547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA E WARD Senior Compliance Specialist 804-262-6492 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |