| NPI | 1801889563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRIED Owner 440-842-7797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: OH 526649) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 125112) |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2009-10-05 |