| NPI | 1912306234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMICA SMITH Owner 804-569-0765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 1296420) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |