| NPI | 1972875664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN KEITH NESTER Owner/Operator 304-298-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2013-11-18 |