| NPI | 1235582305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT BOEHM CFO 419-427-3101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 32-900011) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2019-11-08 |