| NPI | 1821030594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CARROLL Owner 540-427-7277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103793) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2011-09-21 |