| NPI | 1124645502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL D LAWRENCE Owner 248-356-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |