| NPI | 1598181448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA WOOLDRIDGE Secretary/Treasurer 434-664-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 2705075569a) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-08-13 |