| NPI | 1013100353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVAR PETTWAY Chief Executive Officer 734-829-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-12-06 |