| NPI | 1295755189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN ALLEN CEO 740-382-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OH 51-022729) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |