| NPI | 1598904294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WALKER Credentialing Coordinator 757-232-8769 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2024-02-21 |