| NPI | 1295856789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER KIGHT PICKETT CEO President 757-420-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009179) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-09-09 |