| NPI | 1437370970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W WILSON Owner 304-242-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-01-31 |