| NPI | 1144320219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY KLINE Director Of Operations 586-726-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MI 0323250001) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: MI 0323250001) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: MI 1323250001) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-05-08 |