| NPI | 1770390379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE SMITH Compliance Operations Supervisor 440-735-3096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Enumeration Date | 2024-12-17 |
| Last Update Date | 2024-12-17 |