| NPI | 1467533398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEKSEY BAKSHIYEV Owner 216-501-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 1635378) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |