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 |