| NPI | 1316216344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH ANDERSON Owner 216-287-8709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: SC 20114328442395) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |