| NPI | 1982712295 |
|---|---|
| Other Name | OLD DOMINION SUPPLY AND EQUIPMENT |
| Entity Type | Organization |
| Authorized Contact | ISABELLE HILLIARD President/CEO 804-745-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: VA 608) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0206008463) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2012-05-23 |