| NPI | 1225345044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS CARPER Business Owner/Founder/CEO 804-482-1842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA R07081000) |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |