| NPI | 1467473306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG IGBOKIDI Vice President 540-904-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2008-06-17 |