Organization
WEST CREEK SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY DANCZIGER (OWNER)
(216) 741-6460
Entity
Organization
Contact information
Practice address
5553 BROADVIEW RD, PARMA, OH 44134-1604
(216) 741-6460
(216) 741-7329
Mailing address
5553 BROADVIEW RD, PARMA, OH 44134-1604
(216) 741-6460
(216) 741-7329
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0815989
—
OH
Enumeration date
10/05/2006
Last updated
08/22/2020
Update your record
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