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Organization
WESTERN RESERVE MEDICAL SUPPLY INC
Active
Organization
WESTERN RESERVE MEDICAL SUPPLY INC
Active
Other names
Western Reserve Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A. GILLIGAN (PRESIDENT/OWNER)
(216) 252-3900
Entity
Organization
Contact information
Practice address
5230 HAUSERMAN RD, SUITE B, PARMA, OH 44130-1224
(216) 292-4406
(216) 252-4930
Mailing address
5230 HAUSERMAN RD, SUITE B, PARMA, OH 44130-1224
(216) 292-4406
(216) 252-4930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0862633
—
OH
Enumeration date
08/09/2005
Last updated
07/08/2011
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