| NPI | 1932385812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX A. MASON Owner 540-261-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA class A - 2705) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |