| NPI | 1881768901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HAGER Senior Administrator 703-279-4252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: VA NH2594) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |