| NPI | 1366502031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY EDWARD KORDACK President CEO 740-687-0036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH HMEL11021) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |