| NPI | 1629009329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE ANNE OABONNA Owner 304-797-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 001) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-05-01 |