| NPI | 1659897213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R PAIGE Vice President 757-793-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |