| NPI | 1467566414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP WAYNE SANDLIN CEO President 740-259-0199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OH 021035750) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 021035750) |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: OH 021035750) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2010-11-30 |