NPI: 1902803141 · GRANTSVILLE, WV 26147 · Durable Medical Equipment & Medical Supplies · NPI assigned 07/01/2005
| Authorized Official | JARVIS-STOVER, LEISA (MANAGER AND CO OWNER) |
| NPI Enumeration Date | 07/01/2005 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 38 | $4K |
| 2020 | 13 | $1K |
| 2021 | 14 | $2K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| A4520 | Incontinence garment, any type, (e.g., brief, diaper), each | 65 | 62 | $7K |