Provider Demographics
NPI:1245608983
Name:KAHLE STORES, INC.
Entity Type:Organization
Organization Name:KAHLE STORES, INC.
Other - Org Name:THE RITZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:KAHLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-224-6100
Mailing Address - Street 1:825 W MARKET ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-2799
Mailing Address - Country:US
Mailing Address - Phone:419-224-6100
Mailing Address - Fax:419-228-6274
Practice Address - Street 1:825 W MARKET ST
Practice Address - Street 2:SUITE 204
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2799
Practice Address - Country:US
Practice Address - Phone:419-224-6100
Practice Address - Fax:419-228-6274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies