| NPI | 1548454986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. JORGE GORDINHO Owner/Md 304-934-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WV 026920) |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: WV 026920) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |