| NPI | 1275004673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINEDU TESHOME YEFIRU Manager 757-995-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-12-10 |
| Last Update Date | 2018-12-10 |