| NPI | 1164582748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN S IVANY Vice President/Gm 330-545-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-12-08 |