| NPI | 1518628122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY JIMENEZ Administrator 757-769-6725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |