| NPI | 1578157178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH TANT Member/Manager 304-389-1246 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2021-02-24 |