| NPI | 1295898567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA K LEVERETT Owner 757-486-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0618000402) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2011-01-07 |