Organization
THE WHEELCHAIR STORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GILLIGAN (OWNER MANAGER)
(216) 228-8210
Entity
Organization
Contact information
Practice address
5290 COMMERCE PKWY, SUITE B, PARMA, OH 44130-1271
(216) 228-8210
(216) 252-4930
Mailing address
PO BOX 35228, CLEVELAND, OH 44135-0228
(216) 228-8210
(216) 252-4930
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
HMEL
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2900114
—
OH
Enumeration date
06/07/2007
Last updated
08/09/2011
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