| NPI | 1164458535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MICHAEL HATFIELD Owner 937-235-5366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OH 020852400) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2010-01-04 |