Banner Home Medical Supply L.l.c

NPI #1528043593 in Fairborn, Ohio

Provider Information

NPI Number
1528043593
Entity Type
Organization
Organization Name
Banner Home Medical Supply L.l.c
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Dec 13, 2005
Last Updated
Aug 22, 2020

Practice Location

Address
67 E DAYTON YELLOW SPRINGS RD
State
Ohio
ZIP Code
45324-3445
Phone
(937) 754-1210

Authorized Official

Name
MR. MARC STEPHAN BANNER
Title
PRIMARY OWNER
Phone
(937) 482-0042

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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