| NPI | 1124356373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI ANNE SMITH Owner/Member 304-650-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WV WV045964) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2009-11-30 |