| NPI | 1962587543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND JOHN BONIFACE President 330-758-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 0170960001) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |