| NPI | 1669463105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | M. EUGENE WEEMS President 304-345-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 279779) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WV 279779) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: WV 279779) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WV 279779) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: WV 279779) | |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2011-01-14 |