| NPI | 1154426153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SION KHAIMOV Owner 440-442-1443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 18448670) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |