| NPI | 1457983298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BREEDEN Owner 804-748-6433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |