| NPI | 1114928587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L MITCHELL President Owner 937-898-1566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2008-03-31 |