| NPI | 1558635854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY CECIL CHEATHAM General Manager 202-525-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DC 350000082138) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2013-03-15 |