| NPI | 1205273125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KULNIS Member 540-300-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA S4437242) |
| Enumeration Date | 2013-06-01 |
| Last Update Date | 2013-06-01 |