| NPI | 1568693083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES IX Manager 434-977-6435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2400344) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |