| NPI | 1811279672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JAY GREENBERG Owner 804-730-7089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0103000793) |
| Enumeration Date | 2011-09-16 |
| Last Update Date | 2011-09-16 |