| NPI | 1548709264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA MADUAKOR Administrator 571-575-3795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA S6636593) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |