| NPI | 1952655391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LINCOLN PERKINS Owner 304-278-5744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 2244-5543) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |