| NPI | 1912863085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARION A LISENBY Owner/Operator 757-404-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-01-01 |
| Last Update Date | 2026-01-01 |