| NPI | 1205013430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LIDDELL President 216-587-5362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 2662060) |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2014-02-17 |