| NPI | 1497183164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A FEIGHT Managed Care Coord 757-213-5683 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2015-11-02 |