| NPI | 1073887394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA PICKERING Manager 216-482-3875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |