| NPI | 1356574693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES REEVES WAYLAND CEO 804-513-1599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009488) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-09-03 |