| NPI | 1497717029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JAMES WILLMOTT General Manager 540-725-4433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009293) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-08-22 |