| NPI | 1699702126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCY D LONG Administrative Assistant 304-842-6001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-07-21 |