| NPI | 1942380068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM OWEN Owner 540-721-9013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: VA 0206009233) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |