Organization
DURABLE MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVANZO LAMANAS TATE (OWNER)
(330) 974-5415
Entity
Organization
Contact information
Practice address
595 CARLOTTA DR, YOUNGSTOWN, OH 44504-1321
(330) 506-6635
Mailing address
595 CARLOTTA DR, YOUNGSTOWN, OH 44504-1321
(330) 506-6635
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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