| NPI | 1306864277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BALLENTINE WOOD Owner 440-974-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2010-12-01 |