| NPI | 1164569893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL JAMES WARD Owner 313-255-1759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |