| NPI | 1285616714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOEL STEVENS President 419-893-0748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH LPO120) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2018-10-03 |