| NPI | 1629079967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MORRIS Owner 804-273-9721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0017907786) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |