| NPI | 1952836256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASEY YOUNG Owner 937-717-6436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH HMEL 11635) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |