| NPI | 1972516201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L ALLEN Owner/President 540-980-6022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0019302741) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |