| NPI | 1861733875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL POWERS Owner 304-255-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WV LRTC01097) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |