| NPI | 1114667763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD NADIR IJAZ COO 810-275-9371 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-12-23 |