Organization
EXCEL DIABETIC & MEDICAL COMPANY EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY FERRISE (PRESIDENT)
(304) 848-3098
Entity
Organization
Contact information
Practice address
1715 PLEASANT VALLEY RD, SUITE 102, FAIRMONT, WV 26554-9263
(304) 848-3098
(304) 848-3098
Mailing address
1715 PLEASANT VALLEY RD, SUITE 102, FAIRMONT, WV 26554-9263
(304) 848-3098
(304) 848-3098
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
94688
WV
Other
Enumeration date
07/24/2007
Last updated
11/26/2007
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