| NPI | 1497097612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN RAY CRUM Vice President/COO 757-675-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA S4451904) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |