| NPI | 1710389093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAR H GJOLBERG Administrator 304-473-2118 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2018-03-07 |