| NPI | 1043350689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H BENNINGER Owner 269-373-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 4301030073) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-07-29 |