| NPI | 1851857031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY HAUCK Managing Medical Director 703-593-2619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |