| NPI | 1912100744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MACKLE Controller 330-832-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332U00000X Home Delivered Meals |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |