NPI | 1629237474 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE KAY WICKLINE Office Manager 304-253-3150 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 582-OD) |
Enumeration Date | 2008-06-06 |
Last Update Date | 2008-06-20 |