| NPI | 1568646438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH L REID Owner 540-662-6457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2701033372A) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |