| NPI | 1063421402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA MOORE President/CEO 313-837-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-11-03 |