| NPI | 1215067111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI DELBRIDGE Cbo Manager 757-466-3410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-11-20 |