| NPI | 1629178082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MOUGEY Owner 419-547-6458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH COSS021129) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |