| NPI | 1639312093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD PINKY ROBINSON Director 757-404-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0117000453) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2009-04-15 |