| NPI | 1972808012 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOHN DOPITA Homecare Administrator 800-814-9389 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WV 0054263) | 
| Enumeration Date | 2011-01-21 | 
| Last Update Date | 2022-06-14 |