| NPI | 1225870629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JACKSON Collections Manager 304-225-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2025-10-06 |