| NPI | 1891147369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL ROBERT THOMPSON Owner/Founder 571-970-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |