| NPI | 1235107236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE CONN Vice President 740-456-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: OH 02-1435050) | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2021-08-17 |