| NPI | 1205166154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISSY CROSS General Manager 419-473-1493 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2018-04-12 |