| NPI | 1992764823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN C TRACY Owner 937-291-0010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH NA) |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2013-04-17 |