| NPI | 1245479831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA EISELE Vice President 804-525-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA C09009000) |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2009-02-05 |