| NPI | 1902260326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOLEN VERNOR BIVENS President 571-285-3412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 14L25848) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |