| NPI | 1609926716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE ALLAN BOWERS Owner 304-676-5463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WV 791086) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-10-31 |