Organization
EXTENDED CARE AIR THERAPY SYSTEMS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY MAY (PRESIDENT)
(740) 607-0845
Entity
Organization
Contact information
Practice address
7165 PAYNE RD, ROSEVILLE, OH 43777-9711
(740) 697-0845
Mailing address
PO BOX 25, ROSEVILLE, OH 43777-0025
(740) 697-0845
(740) 697-2392
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0786261
—
OH
05
—
4253068
—
MI
Enumeration date
06/28/2005
Last updated
08/22/2020
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