| NPI | 1265756241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED SCARSELLA Owner 330-533-3647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH 50-071054) |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2010-03-20 |