| NPI | 1114176500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE K TAKAHASHI President 734-332-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: MI 4901003036) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 4901003036) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2012-02-18 |