| NPI | 1801447040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARTER ANDREWS Administrator 804-510-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-09-27 |
| Last Update Date | 2019-09-27 |