NPI | 1154585651 |
---|---|
Entity Type | Organization |
Authorized Contact | BORIS VAKS President 330-793-8205 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2008-07-14 |
Last Update Date | 2009-10-07 |