| NPI | 1992758452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT MICHAEL CLARY President 937-435-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 57177577) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |