| NPI | 1982835005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W MATHEWS President 804-271-6750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: VA 2705 047042A) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |