| NPI | 1841885522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SH'RON HENDERSON Owner 937-993-3257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |