| NPI | 1568432763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA J. ODHAM Office Manager 540-371-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 1101000477) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2014-03-18 |