| NPI | 1083691679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE CONDON President/CEO 734-513-8205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2010-12-14 |