| NPI | 1760814941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEE JOHNSON President/CEO 703-992-3535 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| 251E00000X Home Health | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2013-07-30 |