| NPI | 1164171633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED SAAD Authorizing Official 313-363-8262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2022-07-14 |