| NPI | 1619164308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L ROUSH President 304-776-4318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2013-04-23 |