| NPI | 1730501917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS JAMES CUSTER Owner/Authorized Official 419-756-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH 17639) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |