| NPI | 1114685864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJU TAYLOR Operations Manager 734-476-3138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2023-03-20 |