| NPI | 1720498926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON FELIX DEVISSER Owner/Member 804-339-5746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA S5034840) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |