Provider Demographics
NPI:1083802086
Name:FIRST STEP MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:FIRST STEP MEDICAL SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-432-0939
Mailing Address - Street 1:4415 EUCLID AVE
Mailing Address - Street 2:#349
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-3759
Mailing Address - Country:US
Mailing Address - Phone:216-432-0939
Mailing Address - Fax:216-432-0926
Practice Address - Street 1:4415 EUCLID AVE
Practice Address - Street 2:#349
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44103-3759
Practice Address - Country:US
Practice Address - Phone:216-432-0939
Practice Address - Fax:216-432-0926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200604701542332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies