Organization
JM CLEMENTE CO. LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MARK CLEMENTE (OWNER/PRESIDENT)
(330) 392-7069
Entity
Organization
Contact information
Practice address
3100 NILES RD SE, WARREN, OH 44484-3276
(330) 392-7069
(330) 392-7071
Mailing address
3100 NILES RD SE, WARREN, OH 44484-3276
(330) 392-7069
(330) 392-7071
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2939388
—
OH
01
—
7801552
ODMRDD
OH
Enumeration date
11/12/2009
Last updated
11/12/2009
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