Organization
LOOP HOME MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RUDGE (OWNER)
(304) 722-2233
Entity
Organization
Contact information
Practice address
62 6TH AVE, SAINT ALBANS, WV 25177-2769
(304) 722-2233
Mailing address
PO BOX 412, SAINT ALBANS, WV 25177-0412
(304) 722-2233
(304) 405-2907
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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