| NPI | 1467843615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANGUS Owner 804-794-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0401411855) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |