| NPI | 1689211096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGIE SAKURA BENNETCH Adminstration 540-735-7651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |