| NPI | 1437169935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANISHA RENEE JOHNSON Alternate Channels Mgr. 757-221-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2011-10-18 |