| NPI | 1467621854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JAN PAUL Owner 330-297-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: OH 36002415) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2017-01-13 |