| NPI | 1801994322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DON NEWSOM CEO 419-473-1493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 4853180) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2009-10-22 |