| NPI | 1154723526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JONES Office Manager 419-872-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2014-09-17 |