| NPI | 1245406255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MARK VANRAAM COO 757-303-7221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TN TN3332) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2025-09-22 |