| NPI | 1831417203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH MICHAEL HOLDAN President 703-528-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 123456) | |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2022-07-21 |