Organization Name: | M & R OF FREDERICKTOWN |
NPI Number: | 1720081581 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL J HOUSKA (OWNER) |
Mailing Address: | 895 Home Ave Akron |
State: | OH US |
Postal Code: | 443104115 |
Phone Number: | 8009984199 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2005 |
NPI Last Update Date: | 10/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | NONE REQUIRED |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |