| NPI | 1104223775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BANGAYAN Owner 440-842-6781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 36003437) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |