| NPI | 1811135270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RICHARD HERMANN Partner 757-686-4667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 114242) |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |