| NPI | 1356346357 |
|---|---|
| Other Name | FAIRMONT HOME MEDICAL |
| Doing Business As | MON HEALTH EQUIPMENT & SUPPLIES - FAIRMONT |
| Entity Type | Organization |
| Authorized Contact | JEANETTE LYNN LANCASTER Executive Director 304-282-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2021-06-23 |