| NPI | 1750377362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY W DAUGHRIETY Owner 740-393-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 42017406) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-08-22 |