| NPI | 1205459864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID T JOHNSON CEO 434-242-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2024-05-01 |