Organization
WESTERN RESERVE MEDICAL SUPPLY INC
Active
Other names
Western Reserve Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL A. GILLIGAN (PRESIDENT/OWNER)
(216) 252-3900
Entity
Organization
Contact information
Practice address
5230 HAUSERMAN RD, SUITE B, PARMA, OH 44130-1224
(216) 292-4406
(216) 252-4930
Mailing address
5230 HAUSERMAN RD, SUITE B, PARMA, OH 44130-1224
(216) 292-4406
(216) 252-4930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0862633
—
OH
Enumeration date
08/09/2005
Last updated
07/08/2011
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