| NPI | 1952580128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE S. HERMAN Owner 304-267-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 5651550001) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-12-04 |