| NPI | 1073588570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY PAULSON Owner 513-200-2105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 6000006759) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2023-11-15 |