Organization
WELLCO DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABEL C BORROMEO V (OWNER)
(304) 267-0607
Entity
Organization
Contact information
Practice address
107 TAVERN RD, MARTINSBURG, WV 25401
(304) 267-0607
(304) 267-5418
Mailing address
107 TAVERN RD, MARTINSBURG, WV 25401-2841
(304) 267-0607
(304) 267-5418
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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