| NPI | 1245240241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN B BENNETT Owner 804-379-6367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA S167258-5) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2020-08-22 |