Organization
GRAY GHOST INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D JACKSON (PRES & CEO)
(937) 890-3113
Entity
Organization
Contact information
Practice address
925 OLD SPRINGFIELD RD, VANDALIA, OH 45377-9302
(937) 890-3113
(937) 890-5398
Mailing address
925 OLD SPRINGFIELD RD, VANDALIA, OH 45377-9302
(937) 890-3113
(937) 890-5398
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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