| NPI | 1093789943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD V CONNELL Owner Operator 304-296-8286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 001) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2022-07-21 |