| NPI | 1376949255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLORIA E WARD Owner 804-270-7940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2014-11-05 |