MEDICARE: POWERS PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1205176971
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POWERS PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	15299 BAGLEY RD STE 100
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-4823
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	15299 BAGLEY RD STE 100
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44130-4823
Country	:	US
Telephone Number	:	440-885-2100
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	FRANCES M COSTANTINO
Credential	:
Telephone Number	:	440-743-4780

Provider Enumeration Date	:	02/18/2013
Last Update Date	:	02/18/2013

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Directions to “POWERS PROFESSIONAL CORPORATION ” Practice Location

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