| NPI | 1649560582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANNE SHEFFER President 757-675-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |