| NPI | 1417255308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN D AVERY President 740-354-6169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 11441) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-09-08 |