| NPI | 1215942792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON DAVID BRIGHT President 434-973-8636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 1101000736) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2021-08-13 |