| NPI | 1578655874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA REGINA SMALL President/Owner 304-263-3095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-07-21 |