Organization
ACTIVE LIFESTYLE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CASADY (CEO)
(330) 595-4240
Entity
Organization
Contact information
Practice address
3632 APACHE ST NW, UNIONTOWN, OH 44685-8654
(440) 708-4557
Mailing address
11180 PEACH GLEN AVE NW, UNIONTOWN, OH 44685-6300
(330) 595-4240
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/07/2018
Last updated
05/11/2024
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