NPI | 1730433046 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA K DELOATCH President 757-498-8199 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 1202007654) |
Enumeration Date | 2012-11-08 |
Last Update Date | 2012-11-08 |