| NPI | 1902968548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK K HALL Practice Administrator 304-766-7515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 13599) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |