Organization
STONEWALL HOME OXYGEN THERAPY, INC.
Active
Organization
STONEWALL HOME OXYGEN THERAPY, INC.
Active
Other names
SHOT
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE EISENBEIS (DIRECTOR OF EXTERNAL OPERATIONS)
(304) 269-0100
Entity
Organization
Contact information
Practice address
456 MARKET PLACE MALL, SUITE A, WESTON, WV 26452-6938
(304) 269-0100
(304) 269-4559
Mailing address
456 MARKET PLACE MALL, SUITE A, WESTON, WV 26452-6938
(304) 269-0100
(304) 269-4559
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3910001067
—
WV
Enumeration date
10/09/2013
Last updated
11/13/2014
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