| NPI | 1225274921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JANE MAYNARD Owner 937-981-0323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2023-06-03 |