| NPI | 1720185762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN RODRIGUEZ President/Owner 804-986-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 1202017331) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |