| NPI | 1801147590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ROSS Owner/President 540-341-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |