NPI | 1083878409 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD J FOSTER President Of Corporation 734-429-5448 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: MI RF006104) |
Enumeration Date | 2008-07-15 |
Last Update Date | 2008-07-15 |