| NPI | 1629235213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA E WARD Principal Legal Specialist 804-550-2017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2016-11-18 |