| NPI | 1972899474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL SCOTT WINEFORDNER Member 804-627-1208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |