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 |