| NPI | 1306960497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK V. THOMSON PIC, Owner 434-793-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201000675) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-02-21 |