| NPI | 1518155738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CROSSET WAGENSELLER President/Owner 614-315-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 332B00000X) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |