| NPI | 1922054287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DUGGAN EVP/Administrator 757-889-5851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 1202014479) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |