| NPI | 1427274786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORA ANN DOUGLAS CFO 304-872-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 61) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-09-13 |