| NPI | 1336390350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER G CROCKETT CEO 540-382-8747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 2705035703A) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |