| NPI | 1104803022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED J FLEMING Authorized Agent 330-743-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2020-08-22 |