Organization
BODACIOUS WATER COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD M COHEN (PRESIDENT)
(216) 621-7577
Entity
Organization
Contact information
Practice address
24161 GREENLAWN AVE, BEACHWOOD, OH 44122-1438
(216) 235-5634
Mailing address
3695 GREEN RD, 221152, BEACHWOOD, OH 44122-5722
(216) 621-7577
(216) 382-0045
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
18478200
OH
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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