| NPI | 1154572287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESAM SAM SMIDI Owner 419-474-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH hmel.11353) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2009-06-17 |