| NPI | 1710161245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JO FICKES Patient Account Manager 757-461-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2013-02-07 |