| NPI | 1154523561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED JOHN STITZEL Vice President 330-436-0048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-04-08 |