| NPI | 1174087803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DAMON Billing Manager 419-427-3104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |