| NPI | 1083839898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA JOY WINTERS Office Manager 304-525-6092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |