| NPI | 1912900978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA F WELLS President 614-870-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: OH 18) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-03-13 |