| NPI | 1255483038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DERAMO Administrator 419-473-3561 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-09-27 |