| NPI | 1679861629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WARD JONES Senior Compliance Specialist 804-550-2017 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-19 |