| NPI | 1407870082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN O KNABLE Owner 804-594-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: VA 1111498) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-02-14 |