Organization
LTC SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY ELIZABETH WAID (PRESIDENT)
(330) 637-2330
Entity
Organization
Contact information
Practice address
781 NORTHWEST BLVD, COLUMBUS, OH 43212
(614) 297-6967
(877) 297-7380
Mailing address
2332 CADWALLADER SONK, CORTLAND, OH 44410
(330) 637-2330
(330) 637-2372
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218857
—
OH
Enumeration date
10/03/2006
Last updated
08/22/2020
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