| NPI | 1104186063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CONNELL Operating Manager 304-599-3287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2012-05-24 |