| NPI | 1891972543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHINYERE A IWUAMADI Director Of Operations 757-470-5661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206009351) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2024-07-12 |