| NPI | 1548921265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW C DAIRMAN Authorized Official 757-934-0768 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2022-01-05 |