| NPI | 1811141559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA SERGENT Credentialing 937-280-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2025-06-04 |