Provider Demographics
NPI:1013261783
Name:YOUR HEALTH MEDICAL SUPPLY INC.
Entity Type:Organization
Organization Name:YOUR HEALTH MEDICAL SUPPLY INC.
Other - Org Name:YOUR HEALTH MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARCHMENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-593-0125
Mailing Address - Street 1:31502 EDGEWOOD RD.
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124
Mailing Address - Country:US
Mailing Address - Phone:216-593-0125
Mailing Address - Fax:216-593-0125
Practice Address - Street 1:31502 EDGEWOOD RD.
Practice Address - Street 2:
Practice Address - City:PEPPER PIKE
Practice Address - State:OH
Practice Address - Zip Code:44124
Practice Address - Country:US
Practice Address - Phone:216-593-0125
Practice Address - Fax:216-593-0125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-02
Last Update Date:2012-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies