NPI 1396201299
Islay LLC
Practice location
- Address
- 524 Park Ave W, Mansfield, OH 44906-3720
- Phone
- (419) 709-9663
Authorised official
- Name
- Trai'Shaun D Beard
- Title
- Ceo
- Phone
- (419) 709-9663
Registered specialties
Prosthetics Case Management
Primary
Registry record
- NPI
- 1396201299
- Entity type
- Organization
- NPI issued
- 15 Feb 2019
- Record last updated
- 15 Feb 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.