| NPI | 1861653594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY RENEA MOHEBBI President 304-562-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |