| NPI | 1871080499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA C WELWOLIE Administrator 571-234-3370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |