| NPI | 1588834667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CLARKE Business Manager 540-337-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |