| NPI | 1639304991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WALTON BLACK Owner 419-270-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |