| NPI | 1336321421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA WEBB Member 304-523-3356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 10054274) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2008-06-01 |