| NPI | 1669852620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIREE JENNIFER MCCLENDON Owner 757-292-1364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |