| NPI | 1144949041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ARIETTA WISEMAN Member Manager 304-345-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-01-15 |