| NPI | 1619619921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA FELISHA MITCHELL President 703-973-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |