| NPI | 1770579302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI PEARSON Owner 740-441-1645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 5404110003) |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-03-21 |