| Organization Name: | SARA'S GARDEN-THE SARA JOY RYCHENER-BURKHOLDER HYPERBARIC CENTER |
| NPI Number: | 1265578348 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDITH A BURKHOLDER (CLINIC DIRECTOR) |
| Mailing Address: | 620 W Leggett St Wauseon |
| State: | OH US |
| Postal Code: | 435671348 |
| Phone Number: | 4193357272 |
| Fax Number: | 4193355564 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 07/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 02-1518550 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |