| NPI | 1992140875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF MIGLIACCIO President/CEO 703-680-2380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 2705143738) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2013-05-06 |