| NPI | 1215368774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J SCOTT PORTERFIELD Administrator 419-473-3561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2014-04-04 |