| NPI | 1780019463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J MARK CLEMENTE Owner / President 330-392-7072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 2939388) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |