| NPI | 1063712792 | 
|---|---|
| Other Name | NONE | 
| Entity Type | Organization | 
| Authorized Contact | EDWARD GREGORY GILBERT President 586-242-6744 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2010-10-28 | 
| Last Update Date | 2011-05-26 |