| NPI | 1548417330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STEVEN EDWARD KNISLEY Owner 540-760-1866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2008-08-22 |