| NPI | 1245621341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM TRENT FISHER President/ Owner 540-309-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2705155349) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |