| NPI | 1427091818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN EDWARD FANNON President/CEO/Owner 330-750-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 1617680) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2008-04-24 |