| NPI | 1316536204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LLOYD COULTER STEHL Director 703-577-6026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |