| NPI | 1316975402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYLER M. MOORE Managing Member 540-777-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: VA Bus. License #22659) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |