Organization
PRIORITY ONE HOME CARE II
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANE LEIGH BRYANT BA (OWNER)
(304) 445-4960
Entity
Organization
Contact information
Practice address
103 RAILROAD AVE, ALDERSON, WV 24910
(304) 445-4960
(304) 445-4962
Mailing address
PO BOX 739, 103 RAILROAD AVE, ALDERSON, WV 24910-0739
(304) 445-4960
(304) 445-4962
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
LRTR0042
WV
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
LRTR0442
WV
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
11/21/2012
Last updated
03/10/2014
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