| NPI | 1033224241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BRADFORD President 740-653-1324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH HMER.22058) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH HMER.22058) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OH HMER.22058) | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OH 02-1178550) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |