| NPI | 1326086901 |
|---|---|
| Doing Business As | PRINCE WILLIAM HOME MEDICAL |
| Entity Type | Organization |
| Authorized Contact | SYDNEY A. FORTUNE President 703-361-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA 0206008374) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2008-10-31 |