| NPI | 1831348184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L LOUDIN Administrative Operations Manager 304-725-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 0407379001) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-09-11 |