| NPI | 1164190518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA BATTON Office Manager 304-376-4381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2021-09-01 |