| NPI | 1134305089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY H GOODE President 304-388-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-22 |