| NPI | 1801784509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN SPARKS Project Manager 740-395-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |