| NPI | 1497721716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE OLENICK Accounts Receivable Supervisor 434-797-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: VA 0206008455) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: NC 00755) |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: SC 60-006105) | |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2020-08-31 |