| 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 |