| NPI | 1639238959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY WILLIAM MACINO Owner 419-475-3996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2015-08-26 |