| NPI | 1033797246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ARIETTA WISEMAN Member 304-345-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2023-01-16 |