| NPI | 1619049699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA L OMOYOSI Program Director 513-761-4871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 89576068) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2008-02-11 |