| NPI | 1619906575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M THOMPSON Member 304-252-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2015-03-30 |