| NPI | 1275931735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON THOMAS SPOONER Member 440-331-2963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-12-16 |
| Last Update Date | 2014-12-16 |