| NPI | 1659585453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY E ELLISON Coordinator 304-243-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV A-0017) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2008-07-17 |