| NPI | 1588023030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW C DAIRMAN Owner 757-934-0768 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0103300887) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2022-02-28 |