| NPI | 1104593474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FATIMA TEKKO Owner 313-622-7648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-08-25 |
| Last Update Date | 2021-08-25 |