| NPI | 1033076153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL BETTS Owner 313-341-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2026-01-09 |
| Last Update Date | 2026-01-09 |