| NPI | 1235223678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARRON O MELTON Owner 540-636-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 1101001610) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-12-09 |