| NPI | 1255603379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J FANCETT President 888-510-1933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: OH HMER23319) |
| Enumeration Date | 2012-02-05 |
| Last Update Date | 2016-08-06 |