| NPI | 1578735189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ROBERT DOSTALL Owner 440-323-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 3387T414) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |