| NPI | 1124001748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD E. DURK CEO 440-899-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 1208310001) |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2012-06-14 |