| NPI | 1699243691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L BOLLINGER Owner 304-788-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2020-05-21 |