| NPI | 1316254279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M TALLEY Client Services Coordinator 540-213-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0101840518) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |