| NPI | 1376818526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA E SANDERSON Executive Director 304-436-6588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: WV FE271147) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |