| NPI | 1427117340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY A. MULLENS Owner 740-574-9953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH hmel 11087) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |