Organization
CARDINAL HOME MEDICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD LEE BENNETT R.R.T. (SECRETARY/RESPIRATORY THERAPIST)
(216) 226-1112
Entity
Organization
Contact information
Practice address
1387 MARLOWE AVE, SUITE #6, LAKEWOOD, OH 44107-2676
(216) 226-1112
(216) 226-2409
Mailing address
1387 MARLOWE AVE, SUITE #6, LAKEWOOD, OH 44107-2676
(216) 226-1112
(216) 226-2409
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
HMEP 33005
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197844
—
OH
Enumeration date
09/16/2006
Last updated
08/22/2020
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