Organization
MAR-LOU SHOES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL H UNGAR (PRESIDENT)
(440) 461-6744
Entity
Organization
Contact information
Practice address
5471 MAYFIELD RD, LYNDHURST, OH 44124-2923
(440) 461-6744
(440) 461-2668
Mailing address
5471 MAYFIELD RD, LYNDHURST, OH 44124-2923
(440) 461-6744
(440) 461-2668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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