| NPI | 1417221276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA WAINWRIGHT Owner 757-479-6872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 137524) |
| Enumeration Date | 2012-02-25 |
| Last Update Date | 2014-04-11 |