| NPI | 1720174675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW CRAIG DAIRMAN President/Medical Director 757-934-0768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-09-25 |