| NPI | 1285675231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUPE DOVE SWEEDEN President 757-484-9448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 24972) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 24972) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2019-10-23 |