| NPI | 1780041202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS HAWKINS Owner 540-361-1679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2705107988) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |