Organization
MAGNACARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY NICHOLAS LUNDY (OWNER)
(304) 919-7353
Entity
Organization
Contact information
Practice address
44 SIROCCO CT, FALLING WATERS, WV 25419-1490
(304) 919-7353
Mailing address
44 SIROCCO CT, FALLING WATERS, WV 25419-1490
(304) 919-7353
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
02/05/2010
Last updated
10/24/2019
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