| NPI | 1487100624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY GHASSAN LABABIDI Medical Director 330-208-2720 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OK HMEL.11599) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-01-04 |