| NPI | 1437610581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM R ROSSITER President 757-202-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2019-03-29 |