| NPI | 1649440488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID K ELLIOTT Owner 330-630-9030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: OH 36001901) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |