| NPI | 1275738437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN GOKEL DELE Administrator 703-533-0370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |