NPI 1124356373

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Organisation Customized Equipment (DME) Wheeling, WV

Practice location

Address: 19 Richmond Ave, Wheeling, WV 26003-4586
Phone: (304) 233-0929
Fax: (304) 233-0920

Authorised official

Name: Lori Anne Smith
Title: Owner/Member
Phone: (304) 650-0828

Registered specialties

Customized Equipment (DME) Primary

Suppliers Taxonomy 332BC3200X Licence WV045964 (WV)

Other Durable Medical Equipment & Medical Supplies providers in West Virginia →

Registry record

NPI: 1124356373
Entity type: Organization
NPI issued: 30 Nov 2009
Record last updated: 30 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.