NPI 1326223082

Life Source Medical, INC.

Organisation Durable Medical Equipment & Medical Supplies Princeton, WV

Practice location

Address: 1439 Main Street Suite 1, Princeton, WV 24740
Phone: (304) 431-3000
Fax: (304) 431-3330

Authorised official

Name: Ginger P Maxwell
Title: President
Phone: (336) 316-1166

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X

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

Registry record

NPI: 1326223082
Entity type: Organization
NPI issued: 31 Dec 2007
Record last updated: 31 Dec 2007

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.