Organization
INDEPENDENT SENIOR SUPPLIES, INC
Active
Other names
Independent Senior Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ELLEN LOWERY (PRESIDENT)
(440) 290-8935
Entity
Organization
Contact information
Practice address
6826 CHERRY BLOSSOM DR, MENTOR, OH 44060-8429
(440) 290-8935
(440) 290-8967
Mailing address
6826 CHERRY BLOSSOM DR, MENTOR, OH 44060-8429
(440) 290-8935
(440) 290-8967
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3133862
—
OH
Enumeration date
03/08/2011
Last updated
10/17/2011
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