| NPI | 1710941422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B STOUT Executive Director 757-934-9454 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2010-03-12 |