| NPI | 1417966201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA S VINEYARD President/Owner 304-766-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WV 791795) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |