| NPI | 1952434177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WAYNE STURGEON Owner 304-733-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |