| NPI | 1043956451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANISEH ISSA Owner 734-417-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |