| NPI | 1124776828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE COATES CEO 248-890-9660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 171W00000X Contractor | |
| Enumeration Date | 2022-03-13 |
| Last Update Date | 2025-12-29 |