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Organization

MED-OX HOME MEDICAL

Active
Other names
Mark II Ent., LTD
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK A SMITH (MANAGING MEMBER)
(937) 323-5764
Entity
Organization

Contact information

Practice address
8960 LEAVITT RD, ELYRIA, OH 44035-4208
(440) 986-2215
(440) 986-2218
Mailing address
4867 URBANA RD, SPRINGFIELD, OH 45502-9503
(937) 323-5764
(937) 323-2699

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
11076
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2742876
OH
Enumeration date
09/01/2006
Last updated
08/18/2011
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