| NPI | 1235310343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY DIANE MARKULIN Owner 330-286-3414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA 6000006109) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2019-09-16 |