| NPI | 1437165057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYANE B PERGERSON Vice President/Owner 804-330-5743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009331) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2009-03-20 |