| NPI | 1831414606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M TALLEY Client Services Coordinator 540-213-7725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0101246846) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |