| NPI | 1043952211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY JVON THOMAS Head Director 248-778-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2024-03-18 |