| NPI | 1891961751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD W COMBS Owner 304-257-3744 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 012590) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2012-01-05 |