| NPI | 1457538209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WILSON President 804-381-3567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2008-01-23 |