| NPI | 1528591773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY WILLIAMS Senior Director Reimbursement 757-560-8626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |