| NPI | 1396067096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRELL J PITTMAN President 757-570-1861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| Enumeration Date | 2010-02-22 |
| Last Update Date | 2010-02-22 |