Organization
GRAYCO MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE L GRAY (OWNER)
(216) 570-2405
Entity
Organization
Contact information
Practice address
3770 HEINLY CT, BRUNSWICK, OH 44212-4441
(216) 570-2405
(330) 225-6535
Mailing address
PO BOX 1343, BRUNSWICK, OH 44212-8843
(216) 570-2405
(330) 225-6535
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2858224
—
OH
Enumeration date
02/22/2008
Last updated
03/05/2010
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