| NPI | 1669735148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON GILBERT DEAN Sole Owner 937-548-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH 30.021271) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-06-20 |