| NPI | 1629317458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANN FOX Owner 757-754-8643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 2705146719) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |