| NPI | 1992125314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN EISENBREI Owner 330-492-0038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH SC2290) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |