| NPI | 1447521992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCDONALD Owner 571-331-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2705118525) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: VA 2705118525) |
| Enumeration Date | 2012-01-14 |
| Last Update Date | 2024-06-07 |