Organization
D&R HOME MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS CHARLES GATTUSO SR. (PARTNER)
(330) 477-4816
Entity
Organization
Contact information
Practice address
3029 WHIPPLE AVE NW, CANTON, OH 44718-3026
(330) 477-4816
(330) 477-3345
Mailing address
3029 WHIPPLE AVE NW, CANTON, OH 44718-3026
(330) 477-4816
(330) 477-3345
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
332H00000X
Eyewear Supplier
—
—
333300000X
Emergency Response System Companies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7604720
MEDICAID WAIVER PROVIDER
OH
Enumeration date
09/07/2010
Last updated
09/07/2010
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