| NPI | 1174055107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA SUE BISS Owner 419-224-7979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 020380) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |