| NPI | 1427122910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY RENSLOW Head Clerk 757-487-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0201000416) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |