| NPI | 1447406012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA R IRWIN Manager 804-639-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2101000328) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2013-02-15 |