| NPI | 1639590847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JACOBS Executive Director 434-817-2447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |