| NPI | 1558651026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M KOSTELNICK Practice Administrator 330-899-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2020-08-14 |