| NPI | 1821418187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH TANT Member/Manager 304-389-1246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2019-07-10 |