| NPI | 1790950681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA KEITH FULTS Executive Director 540-373-2559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |