| NPI | 1649292749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONTRENIA MARLEASE SHULTERBRANDT Pres./CEO 757-673-3769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2009-12-10 |