Organization Name: | CKC DURABLE MEDICAL SUPPLIES, LLC |
NPI Number: | 1568646651 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | IBE UGONNA NNAJI (MANAGER / MEMBER) |
Mailing Address: | 4104 Airport Hwy 4040 Plaza Toledo |
State: | OH US |
Postal Code: | 436157100 |
Phone Number: | 4193827050 |
Fax Number: | 4193827051 |
NPI Enumeration Date: | 12/26/2007 |
NPI Last Update Date: | 12/26/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |