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NPI 1124356373 · Customized Equipment (DME) · Wheeling, WV
Provider details
- NPI number
- 1124356373
- Entity type
- Organization
- Primary specialty
- Customized Equipment (DME)Suppliers
- Organization subpart
- No
- Authorized official
- Lori Smith, Owner/Member(304) 650-0828
- License
- WV045964 (WV)
Specialties & taxonomies
Suppliers
Practice location
19 Richmond Ave
Wheeling, WV 26003-4586
Phone: (304) 233-0929
Fax: (304) 233-0920
Approximate (ZIP-level) locationGet directions
Mailing address
19 Richmond Ave
Wheeling, WV 26003-4586
Registry dates
- Enumerated
- 2009-11-30
- Last updated
- 2009-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.