| NPI | 1497926109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSILAND RENEE FRIDAY President/CEO 757-685-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 011511) |
| Additional Taxonomies | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies (Licence: VA 011511) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |