| NPI | 1396019261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON G. DEAN President 937-626-4770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: OH 30.021271) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |