| NPI | 1265608517 |
|---|---|
| Doing Business As | TRUCK IN VANTASTIKS |
| Entity Type | Organization |
| Authorized Contact | WALLACE R MATTHEI Pres 216-362-1422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |