| NPI | 1174846091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON JERMAINE WHATLEY Owner 313-629-4721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |