| NPI | 1740469519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J. HAMBLEN President 703-820-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: DE 070118871) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2009-04-22 |