Organization
WILD LORIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE KREUZ (OWNER)
(440) 725-9786
Entity
Organization
Contact information
Practice address
3204 38TH ST NW, CANTON, OH 44718-2908
(440) 725-9786
(330) 492-5279
Mailing address
3204 38TH ST NW, CANTON, OH 44718-2908
(800) 795-1794
(330) 492-5279
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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