| NPI | 1083714489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN BRAGGS Administrator 248-750-0234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 4297310001) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-03-14 |