| NPI | 1942446489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE A. KELLEHER President 757-761-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 2705 101070) |
| Enumeration Date | 2009-01-06 |
| Last Update Date | 2009-01-06 |