| NPI | 1679830467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M KLAIN President 757-622-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2705036647A) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |