| NPI | 1811229255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E LALA President 757-348-5197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2705118606A) |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |