| NPI | 1063601698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE LEE Administrator 231-935-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2010-04-14 |