Organization
GREAT LAKES DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GINANNI (PRESIDENT)
(330) 493-0201
Entity
Organization
Contact information
Practice address
4960 HIGBEE AVE NW, SUITE 101, CANTON, OH 44718-2598
(330) 493-0201
(330) 493-0210
Mailing address
4960 HIGBEE AVE NW, SUITE 101, CANTON, OH 44718-2598
(330) 493-0201
(330) 493-0210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/27/2012
Last updated
10/06/2012
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