| NPI | 1467701953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE ALBERT MENEFEE CEO 757-619-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH RK689133) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |