| NPI | 1730396482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE GILBERT COUCH CEO 304-455-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 95) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: WV 95) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |