| NPI | 1619439346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY E MARTIN Director Of Operations 540-476-4503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-04-02 |