| NPI | 1104337799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISSY CROSS General Manager 419-473-1473 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2018-04-12 |