| NPI | 1598904294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA QUINTERO Credentialing Manager 757-964-8739 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2026-03-11 |