| NPI | 1164799847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN POST Executive Director 304-472-0395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2020-11-04 |