| NPI | 1811312176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MACHELLE GIORDON Credentialing Specialist 330-723-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 36003592) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-25 |