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Active
Other names
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Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ALISHA PICKERING (MANAGER)
(216) 482-3875
Entity
Organization

Contact information

Practice address
1300 E 9TH ST, SUITE 1110, CLEVELAND, OH 44114-1501
(216) 482-3875
Mailing address
1300 E 9TH ST, SUITE 1110, CLEVELAND, OH 44114-1501

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
347C00000X
Private Vehicle

Other

Enumeration date
03/05/2012
Last updated
03/05/2012
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Product
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  • EDI platform