| NPI | 1598936379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD A CLAYTOR Owner 540-982-0253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 0103000782) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2008-03-19 |