| NPI | 1689199853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVORAH PATTERSON Owner 757-610-3342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-09 |
| Last Update Date | 2018-01-23 |