| NPI | 1386652519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK A WEDDLE Owner President 937-233-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH 57177715) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2008-01-09 |