| NPI | 1770542144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA GUMP Chief Operating Officer 937-593-0245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH HMEL.11005) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2013-09-20 |