| NPI | 1285660993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE WHITAKER Secretary 276-328-9340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206008422) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2012-06-11 |