| NPI | 1801096235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY FERRISE President 304-848-3098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 94688) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-11-26 |