| NPI | 1144696741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MARIE CARLILE Billing Agent 304-842-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: WV 973) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2025-08-11 |