Organization
HANDICAP HOME ACCESS AND MODIFICATIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI ANNE SMITH MPT (OWNER/MEMBER)
(304) 650-0828
Entity
Organization
Contact information
Practice address
19 RICHMOND AVE, WHEELING, WV 26003-4586
(304) 233-0929
(304) 233-0920
Mailing address
19 RICHMOND AVE, WHEELING, WV 26003-4586
(304) 233-0929
(304) 233-0920
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
WV045964
WV
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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