Organization
NATIONWIDE DIABETES SUPPLY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON M ROTH (CHIEF EXECUTIVE OFFICER)
(866) 400-4347
Entity
Organization
Contact information
Practice address
14200 ELLSWORTH RD, BERLIN CENTER, OH 44401-8753
(866) 400-4347
Mailing address
14200 ELLSWORTH RD, BERLIN CENTER, OH 44401-8753
(866) 400-4347
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
07/06/2009
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