| NPI | 1770008641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN PATRICK DAVIS Representative 440-812-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |