Organization
SYCAMORE MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA J SMITH I (OWNER)
(513) 748-1534
Entity
Organization
Contact information
Practice address
618 DEERFIELD DR, HARRISON, OH 45030-2012
(513) 748-1534
Mailing address
618 DEERFIELD DR, HARRISON, OH 45030-2012
(513) 748-1534
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119389
—
OH
Enumeration date
02/25/2015
Last updated
07/17/2015
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