| NPI | 1013006824 |
|---|---|
| Doing Business As | EQUIPMENT STORE |
| Entity Type | Organization |
| Authorized Contact | JERRY BAUMAN Administrator 330-861-6165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 810120) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-08-22 |