| NPI | 1124189410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD MILLERMAIER Medical Officer 269-552-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |