| NPI | 1295148195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANTELL T SHREVES President 419-224-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2024-01-22 |