| NPI | 1568647873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD JOHN NOWAK Owner 419-535-7683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 2005-sc) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-12-18 |