| NPI | 1629311410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M STURGEON Member/Cdd 304-721-0775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 2279-3328) |
| Enumeration Date | 2013-04-01 |
| Last Update Date | 2013-04-01 |