| NPI | 1588753891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN REGALADO CARAG Medical Director 703-339-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |