| NPI | 1912208513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EARL A MANNING Director 304-534-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WV 99JLT) |
| Enumeration Date | 2010-11-12 |
| Last Update Date | 2014-02-12 |