| NPI | 1912111436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH BASINGER Member, LLC 937-866-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2013-05-24 |