| NPI | 1629125349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMER W MIAN Director 703-931-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009314) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |