| NPI | 1174657381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS RAY R Owner 419-779-6901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 48178120) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |