Organization
LILLYS HOME MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA J LILLY (OWNER)
(304) 255-0925
Entity
Organization
Contact information
Practice address
138 MAIN ST W, OAK HILL, WV 25901-2935
(304) 465-8851
Mailing address
138 MAIN ST W, OAK HILL, WV 25901-2935
(304) 465-8851
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003014
—
WV
Enumeration date
02/09/2007
Last updated
07/21/2022
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