| NPI | 1063563773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADAKKAN JACOB C.E.O. 586-574-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-07-21 |