| NPI | 1003810573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JAMES MOSIER Director Of Operation 269-382-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: MI E) |
| Enumeration Date | 2005-06-12 |
| Last Update Date | 2022-11-23 |