| NPI | 1326083791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK PETRIE CEO 434-385-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009292) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: VA 0206009292) |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA 0206009292) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2025-09-11 |