| NPI | 1437246881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD GILMAN Administrator 434-316-9112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA S2012724) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2012-04-20 |