| NPI | 1518253608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN GARDNER POMATTO Owner 540-847-6414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: n/a) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2012-09-06 |