| NPI | 1598002842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WM ERNEST SHAVER Owner 540-943-5850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0004113942) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |