| NPI | 1215115647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL DALVIN Owner 330-799-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 36002104) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-12 |