| NPI | 1083209290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL BOCKRATH Owner 937-806-3002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |