| NPI | 1477974772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KURTLAND C FANCETT President 937-631-5799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2014-09-23 |